Active NPI
Lexington Foot & Ankle Center PSC
- Foot & Ankle Surgery Podiatrist
- Georgetown, KY
National Provider Identifier
1144360389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00236
- Legal business name
- LEXINGTON FOOT & ANKLE CENTER PSC
- Practice address
- 1138 Lexington Rd
Suite 210
Georgetown, KY 40324-9672 - Phone
- (859) 278-8855
- Fax
- (859) 278-8856
- NPI assigned
- Feb 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Allen, DPM
- Title
- Ceo
- Phone
- (859) 278-8855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00236 | KY | Primary |
Addresses
Primary practice location
1138 Lexington Rd
Suite 210
Georgetown, KY 40324-9672
Mailing address
1138 Lexington Rd
Suite 210
Georgetown, KY 40324-9672
Phone (859) 278-8855
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821023250 | Other | OUTSA NPI | |
| 1659319721 | Other | FINE NPI | |
| 1487681565 | Other | ALLEN NPI | |
| 80900061 | Medicaid | KY | |
| 1285781682 | Other | STONER NPI | |
| 1245256270 | Other | HARROD NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000854 | KY | Part B Supplier - Clinic/Group Practice | 1759279359 |
Receives reassigned benefits from 5 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frankfort, KY; Georgetown, KY; Lexington, KY |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Foot & Ankle Surgery Podiatrist
- Mt Sterling, KY
- NPI 1336291624
O20040305000854
-
- Foot & Ankle Surgery Podiatrist
- Berea, KY
- NPI 1619017878
O20040305000854
-
- Foot & Ankle Surgery Podiatrist
- Lexington, KY
- NPI 1609025725
O20040305000854
-
- Foot & Ankle Surgery Podiatrist
- Lexington, KY
- NPI 1609939032
O20040305000854
National Provider Directory
National Provider Directory- Tax ID family
- Lexington Foot Ankle CTRS
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Frankfort, KY
- NPI 1033261607
-
- Foot & Ankle Surgery Podiatrist
- Lexington, KY
- NPI 1609025725
-
- Foot & Ankle Surgery Podiatrist
- Lexington, KY
- NPI 1700189503
-
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
- NPI 1366614984
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144360389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD",
"address_2": "SUITE 210",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "859-278-8855",
"fax_number": "859-278-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 LEXINGTON RD",
"address_2": "SUITE 210",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249672",
"telephone_number": "859-278-8855",
"fax_number": "859-278-8856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON FOOT & ANKLE CENTER PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "859-278-8855",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "00236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTSA NPI",
"identifier": "1821023250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FINE NPI",
"identifier": "1659319721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLEN NPI",
"identifier": "1487681565",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80900061",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STONER NPI",
"identifier": "1285781682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARROD NPI",
"identifier": "1245256270",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.